IndividualActive
David Peterson
NPI 1639147606 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1639147606
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
Specialties & taxonomies
Other Service Providers
Practice location
Nomi Det Numi Submarine Base Nlon
Building 159
Groton, CT 06349
Phone: (860) 694-2876
Fax: (860) 694-3874
Approximate (ZIP-level) locationGet directions
Mailing address
125 Hickory St
Norwich, CT 06360-4634
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.